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Journal of Diagnostic Medical Sonography
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Rare Presentation of Twin Gestation With Acardiac Parabiotic Twin

Ajit Mahale, MBBS, MD

KMC Hospital, Mangalore, India

Nina Mahale, MBBS, MD

KMC Hospital, Mangalore, India

Ankur Arora, MBBS, MD

KMC Hospital, Mangalore, India

Kirti Subas Joshi, MBBS

KMC Hospital, Mangalore, India, joshisubas{at}hotmail.com

Yuvraj Manohar, MBBS

KMC Hospital, Mangalore, India

Acardiac parabiotic twinning, also known as a twin reversed arterial perfusion (TRAP) sequence, is a rare occurrence found only in monozygotic twin fetuses whose vascular systems are connected. The circulation of the acardiac twin is accomplished solely by the heart of the other fetus. Although antenatal diagnosis of the TRAP sequence has been reported by several authors, the pathogenesis remains controversial. This case was incidentally detected during routine antenatal sonographic examination at 29 weeks of gestation.

Key Words: acardiac parabiotic twin • TRAP sequence • pump twin

This version was published on January 1, 2009

Journal of Diagnostic Medical Sonography, Vol. 25, No. 1, 62-66 (2009)
DOI: 10.1177/8756479308328539


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